Golden Heart Care Home

Type of visit: Required - 1 Year

On December 2, 2025, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Bentley introduced self and was granted entry into the facility by staff, after stating the purpose of the visit. Administrators (AD) Joey Encarnacion and Marizonia Llorin arrived at the facility and remained to assist during the visit. Joey Encarnacion has an administrator certificate that expires on April 14, 2026 and Marizonia Llorin has an administrator certificate that expires on March 5, 2026. The facility is licensed to operate for six (6) non-ambulatory residents, of which one (1) may be bedridden in Room 4 only, with a hospice waiver for six (6). During the visit, LPA toured inside and outside of the physical plant with staff. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be clean and operational and the water temperatures measured between 113.2 degrees F to 118.2 degrees F. LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. LPA toured the backyard and observed a shaded seating area with a table and chairs for residents to sit outside. CONTINUE TO LIC809-C.... The smoke detectors and carbon monoxide detectors were operable. Emergency safety drills were last conducted on September 16, 2025 and are conducted quarterly. First aid kit is maintained and contains all the necessary elements. A working telephone (714)594-3854 remains available and the faciity has a device that can be used for video teleconference purposes. Emergency food, emergency water, and emergency supplies were stored in the garage. The facility has two (2) fire extinguishers that were charged and last serviced on September 18, 2025. Liability Insurance is effective January 10, 2025 and expires on January 10, 2026. LPA conducted an audit of six (6) resident files (R1-R6), four (4) staff files (S1-S4), and medication and medication administration review. Resident and staff interviews were conducted. No Deficiencies were cited during the time of the visit. An exit interview was conducted, and a copy of this report was provided to Administrator Marizonia Llorin at exit.the state’s words, verbatim · CDSS document, Dec 2, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Ruth Martinez and Nancy Guillen conducted an unannounced visit for the purpose of completing an annual required inspection. LPAs arrived at the facility and were greeted and granted entry by Julieta S. Lubugan. The Administrator Joey Encarnacion arrived shortly after and met with LPAs. There are six residents at the facility, four of which are currently in hospice. LPAs began the tour of the inside and outside of the facility. LPAs observed required department postings throughout the facility. Facility stays within the capacity limitations. There is a minimum of one week non-perishable foods and two days of perishable foods available. There is additional food storage in the pantry and additional food storage in the cabinet/freezer and refrigerator in the garage. The facility is maintained at a comfortable temperature. LPAs inspected that medication is centrally stored in a locked storage cabinet located in dining room. LPAs reviewed medication and observed medication was labeled and stored inaccessible to residents in care. LPAs inspected the bathroom and LPAs measured the hot water temperature which measured 118.2 degrees Fahrenheit. All bathrooms observed to have a supply of soap, toilet paper and towels. Bathrooms are equipped with required safety measures such as non-skid mats and grab bars. Lighting is sufficient to ensure safety and comfort. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. LPAs observed that toxic chemicals, cleaning solutions and disinfectants are stored locked in a storage cabinet in the garage. The facility has an available clean supply of linens. LPAs inspected residents’ bedrooms which have sufficient lighting to ensure the safety and comfort. All bedrooms observed to have all required components. Storage space is provided for residents in their bedroom. Smoke detectors were tested and found to be operational. LPAs toured the outside of the facility and observed outdoor passageways are free of obstructions. LPAs observed there are shaded seating areas for residents’ enjoyment. Continued on LI 809-C LPAs observed a fire extinguisher with service date September 26th, 2024, in the dinning room and garage. Fire drills are conducted quarterly with the last one being done on October 14th, 2024. LPAs began review of records. LPAs reviewed three resident records. All the required documentation was present and current in the residents’ files reviewed. LPAs reviewed two employee records. All employees present have a criminal record clearance and are associated to the facility. LPAs observed records reviewed had a current First Aid certificate. Based on the observations made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with the Administrator and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Nov 18, 2024